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Interinsurance Exchange of the Automobile Club <br />Mailing Address: P.O. BOX 25001 SANTA ANA, CALIFORNIA 92799-5001 <br />Name and Address of Lienholder or Additional Insured <br />Policy Number <br />A 2,00,,f, <br />CAA078581350 <br />THE CITY OF SANTA ANA AND ITS OFFICERS, EMPLOYEES, NOTICE TO LIENHOLDER <br />AGENT VOLUNTEERS, AND REPRESENTATIVES ACTING UNDER IN THE EVENT OF CANCELLATION OF THIS <br />DIRECTION OF THE CITY BINDER, THE EXCHANGE WILL GIVE THE <br />LIENHOLDER 10 DAYS' WRITTEN NOTICE OF <br />20 CIVIC CENTER PLAZA, SANTA ANA CA 92701 CANCELLATION. <br />Loan Number'. <br />The Interinsuranoe Exchange of the Automobile Club hereby acknowledges itself bound to the named insured for the coverages specified in the <br />schedule subject to all the provisions of the Exchange's applicable policy form. The issuance of a policy to the named insured or, if a policy is in force, <br />the issuance of an endorsement covering the automobile, boat or trailer described herein shall void this binder. A pro rata premium charge computed for <br />the term of coverage in accordance with the current rates of the Exchange in effect at inception of the bander will be made unless such a policy or policy <br />endorsement is issued. This binder shall not be construed to afford cumulative insurance with any existing policy. <br />Name of insured: LINDA OHANLON <br />DESCRIPTION OF AUTOMOBILE, BOAT, OR TRAILER <br />Car No. <br />Year <br />Trade Name <br />Type of Body or Boat <br />Identification Number <br />3 <br />2014 <br />INFI <br />OX70 V6 <br />JN8CS1MU0EM451234 <br />10 <br />Medical Payments <br />$ each person <br />10 <br />AUTOMOBILE INSURANCE <br />LIMITS OF LIABILITY <br />indicates coverage bound and afforded, <br />Car # 3 <br />Car # <br />Bodily Injury Liability <br />$ thousand dollars, each person <br />$ thousand dollars, each occurrence <br />Property Damage Liability <br />$ thousand dollars, each occurrence <br />10 <br />Medical Payments <br />$ each person <br />10 <br />El <br />Underinsured/Uninsured Motorists <br />Not Less Than $15,000 each person/$30,000 each accident <br />10 <br />El <br />Comprehensive (incl. Fire and Theft) <br />(a) Actual Cash Value less $ 500 deductible <br />10 <br />11 <br />(b) Limit of Liability of $ less $ deductible <br />El <br />❑ <br />Collision <br />[0 Uninsured Deductible Waiver <br />(a) Actual Cash Value less $ 500 deductible <br />1Z <br />11 <br />(b) Limit of Liability of $ less $ deductible <br />El <br />El <br />Uninsured Collision <br />1:1 <br />El <br />WATERCRAFT INSURANCE (Boat) <br />LIMITS OF LIABILITY <br />indicates coverage bound and afforded, <br />Bodily Injury Liability and Property <br />Damage Liability <br />Thousand Dollars, each occurrence <br />Actual cash value not to exceed Limit of Liability of <br />$ less $ deductible <br />Physical Damage <br />Effective Date of Binder: 03/03/2016 12:01 A.M. Pacific Standard Time <br />This binder shall expire 30 days from the effective date or may be cancelled by the named insured at any time during such 30-day period, The Exchange <br />may cancel this binder by mailing to the named insured at the address shown above written notice stating when, not less than 10 days thereafter, such <br />cancellation shall be effective, The mailing of such notice shall be sufficient proof of notice. <br />District Office: PMGLA A CSC Management Services, Inc, <br />By: Chane6 ATTORNEY-IN-FACT <br />(Authorized Representative) <br />& <br />30510 112110) <br />